Sega Race TV is a racer with a distinctly American theme. The game runs on the Lindbergh system hardware, and allows for up to four players to race together across five different courses.

Sega Race TV features a single race mode, and the ability to race other opponents. In the single race mode, the player races through three laps of the selected course, with the player advancing to the following course if they finish within the stipulated ranking. When single play is cleared, a player is given a password. The password opens access to the customization area, where players can customize their vehicle with options including a new paint job.

The cabinet has a boost button beneath the gear shift, with players collecting boosts to fill the boost gauge. When the boost button is pressed, the car accelerates at a tremendous speed, with the sudden burst of speed crucial in defeating your opponents. There are also free boost periods, where the player can use boost as much as they like for a limited time.